TRAVIS JORDAN ATWATER

ROCHESTER, NY
NPI1164080271
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-06-04
Last Update Date2019-06-04
Business Address
TRAVIS JORDAN ATWATER MSW, CRPA-P
835 W MAIN ST
ROCHESTER, NY 14611-2335
Phone number: 585-627-1777
Mailing Address
TRAVIS JORDAN ATWATER MSW, CRPA-P
835 W MAIN ST
ROCHESTER, NY 14611-2335
Phone number: 585-627-1777